NPI | 1780840215 |
---|---|
Other Name | LISA HAWK, P.L.C. |
Entity Type | Organization |
Authorized Contact | LISA HAWK Operating Manager 319-721-1022 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2008-08-04 |
Last Update Date | 2008-08-04 |